KR20110091054A - Surgery apparatus for suturing - Google Patents

Abstract

PURPOSE: A sealing apparatus for operation is provided to improve convenience and to reduce a level of difficulty of surgical operation by gradually releasing sealing needles after detachably connecting sealing needle assembly. CONSTITUTION: A sealing apparatus for operation a body portion, a sealing needle assembly, a tightening supporting member(400), a needle push portion(500), an elastic member(700), and a push controlling portion(900). The body portion comprises a first main body part(120), a second body portion(140), and a projection reception portion. The projection reception portion detachably connects with the sealing needle assembly of the second body portion. The sealing needle assembly comprises a cartridge and a projection.

Description

Surgical Suture Device {SURGERY APPARATUS FOR SUTURING}

The present invention relates to a surgical suture device, and more particularly, to a surgical suture device for closing the incision site during surgery.

In the case of general open surgery, a large scar remains after surgery due to the large incision site. In addition, during open surgery, there is a disadvantage that a large amount of bleeding occurs due to the large incision site.

Therefore, recently, new surgical techniques such as Minimal Invasive Surgery (MIS) and Natural Scarific Transluminal Endoscopic Surgery (NOTES) have been developed to overcome the shortcomings of open surgery.

For example, minimally invasive surgery is a surgical technique in which only a minimal portion of the incision is performed on a patient's body using long, thin surgical tools specifically designed to minimize the incision required for surgery.

In addition, scarless surgery is a surgical technique in which a surgical tool is inserted through a hole (eg, anus, esophagus, vagina, etc.) naturally present in the patient's body to transfer the surgical tool to a surgical site within the patient's body. to be.

Such minimally invasive surgery and scar-free surgery has the advantages of less incision site required for the procedure, and significantly less bleeding during the procedure compared to laparotomy. In addition, minimally invasive surgery and scar-free surgery has the advantage that the recovery period of the patient after the operation is fast and the scar that is exposed to the outside is small.

On the other hand, minimally invasive surgery and scar-free surgery is significantly smaller than the incision of the patient's body incision, because the incision is made inside the patient's body suture the incision with a medical suture using a laparoscopic surgical tool.

However, the suture of the incision site by the conventional minimally invasive surgery and scar-free surgery technique has a problem that the suture time is increased by holding the medical suture using a laparoscopic surgical tool and stitched by stitching.

In addition, since the operation of the high difficulty of holding and sewing the suture needle using a laparoscopic apparatus is repeated, there is a problem of increasing the fatigue of the operator in addition to the increase of the suture time as described above.

Accordingly, it is an object of the present invention to provide a surgical suture device having an improved structure to reduce the suture time and reduce the fatigue of the operator when the incision is closed.

The objects of the present invention are not limited to the above-mentioned objects, and other objects which are not mentioned will be clearly understood by those skilled in the art from the following description.

Means for solving the above problems, according to the present invention, a suture assembly is mounted on one side of the body portion, the suture assembly is accommodated at least one pair of suture needles and a suture interconnecting the pair of suture needles, A needle push part disposed on the other side of the body part and providing a pressing force to the suture needle to release the suture needle to the outside from the suture needle assembly; and a pair of the suture needles connected to the needle push part and sequentially released It is made by a surgical suture device characterized in that it comprises a push control unit for adjusting the position of the pressing force provided by the needle push unit selectively with respect to the pair of suture needles.

Here, the body portion is provided with a first body portion provided in a tubular shape so that the needle push portion and the push adjusting portion reciprocate in the inside, one side is mounted with the suture needle assembly and the other side is connected to the first body portion and the suture The needle push unit may include a second body portion provided in a cylindrical shape to reciprocate to provide a pressing force to the needle.

The suture needle assembly may include a cartridge in which the suture needle and the suture are releasably received by the needle push portion and detachably coupled to the second body portion.

And, the cartridge is formed between the cartridge body, a pair of needle receiving portion is formed so that each of the pair of the suture needle in the interior of the cartridge body at a predetermined interval, and a pair of the needle receiving portion It may include a suture receiving portion for receiving the suture interconnected the suture needles.

A communication groove is formed between the needle receiving portion and the suture receiving portion to communicate with the needle receiving portion and the suture receiving portion. The communicating groove is preferably smaller than the diameter of the suture needle and larger than the diameter of the suture thread.

Preferably, one of the suture needle assembly and the second body portion is provided with a projection and the other is provided with a projection receiving portion that engages with the projection portion, the suture needle assembly and the second body portion can be detachably coupled to each other. have.

More preferably, the protrusion part and the protrusion accommodating part may be fastened to each other in the horizontal direction of the reciprocating direction of the needle push part.

The surgical suture device is provided between the first body portion and the second body portion when the protrusion and the protrusion receiving portion, the reciprocating movement along the longitudinal direction of the second body portion is mutually the protrusion and the protrusion receiving portion The apparatus may further include a fastening support member configured to receive and release the fastening area of the protrusion and the protrusion accommodating part in order to prevent and allow deviation in the fastening direction.

The needle push part protrudes outside the body part to be pressed by an operator, and provides pressing force transmitted from the pressing part to each of the sewing needles connected to the pressing part and in contact with the suture needles. It may include a push unit.

Preferably, the push portion may be disposed eccentrically with respect to the pressing portion.

The needle push part may further include a push guide part accommodated in the pressing part and in which a guide hole for reciprocating the push part is formed.

One of the inside of the second body portion and the push guide portion is formed with a moving guide portion protruding, and the other is formed with a guide receiving portion for engaging with the moving guide portion to prevent the eccentricity due to the reciprocating movement of the needle push portion Do.

The push adjuster is configured to adjust the position of the pusher so that the connecting part is connected to the needle pusher and protrudes from the connecting part in a horizontal direction with respect to the length direction of the needle pusher, and the pusher is selectively positioned at the tip of the suture needles. It may include a control unit.

Here, it is preferable that the adjusting unit provides a rotational force to the needle push unit to selectively position the push unit with respect to the suture needles.

It may further include an elastic member provided in the body portion to provide an elastic force to reciprocate between the pressing position for pressing the needle push portion and the pressing release position for releasing the pressing force on the suture needle.

On the other hand, according to the present invention, according to the present invention, at least one unit consisting of a body portion, a pair of sutures and a suture interconnecting the pair of suture needles is accommodated and detachable to one side of the body portion A suture needle assembly having a cartridge coupled thereto and a push portion disposed on the other side of the body portion and eccentrically disposed so as to provide a pressing force to the suture needle, thereby providing a force to the suture needle to move the suture needle out of the suture needle assembly. A needle pusher for discharging and a position of the pusher selectively connected to the pair of suture needles by providing rotational force to the needle pusher so as to be sequentially connected to the needle pusher and the pair of suture needles are sequentially released It is also made by a surgical suture device, characterized in that it comprises a push control unit.

In addition, according to the present invention, in accordance with the present invention, the suture assembly is mounted to one side of the body portion, and the suture assembly is accommodated at least a pair of suture needles and a pair of sutures interconnecting the pair of suture needles, respectively. And providing a pressing force to the suture needle selectively with respect to the pair of suture needles so that the suture needle is disposed on the other side of the body and the pair of suture needles are sequentially released. It is also made by a surgical suture device comprising a needle push to release.

Specific details of other embodiments are included in the detailed description and drawings.

Therefore, according to the solution of the problem, by detachably combining the suture needle assembly containing a unit consisting of a pair of suture needles and sutures interconnecting them by releasing the suture needles sequentially, reducing the difficulty of the procedure and Surgical suture device is provided that can increase the convenience together.

In addition, overcoming the disadvantages of the existing laparoscopic surgical instruments is the suture of the incision site is made by the sequential release of the suture needle and the knot between the suture needle, providing a surgical suture device that can reduce the time required for the procedure do.

The effects of the present invention are not limited to the above-mentioned effects, and other effects not mentioned will be clearly understood by those skilled in the art from the description of the claims.

1 is a perspective view of a surgical suture according to a preferred embodiment of the present invention,
2 is an exploded perspective view of a surgical suture according to a preferred embodiment of the present invention,
3 is a first perspective perspective view of a suture needle assembly of a surgical suture apparatus according to the present invention;
4 is a perspective view of a second perspective view of the suture needle assembly of the surgical suture apparatus according to the present invention;
5 to 7 is a perspective view of the combination of the suture needle assembly and the body of the surgical suture apparatus according to the present invention,
8 and 9 is a perspective view of the combination of the suture needle assembly and the body portion of the surgical suture apparatus according to another embodiment of the present invention,
10 is a perspective view of a second body portion of the surgical suture apparatus according to the present invention,
11 is an enlarged exploded perspective view of the needle push unit of the surgical suture according to the present invention,
12 is an enlarged perspective view of areas A and B shown in FIG. 11;
13 is a perspective view of the needle push unit expansion coupling perspective view of the surgical suture according to the present invention,
14 is a front view of the suture needle assembly of the surgical suture device according to another embodiment of the present invention,
15 to 18 is a perspective view of the operation of the surgical suture according to a preferred embodiment of the present invention.

Advantages and features of the present invention, and a configuration and method for achieving them will be apparent with reference to the embodiments described below in detail with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various different forms, only the embodiments are to make the disclosure of the present invention complete, and common knowledge in the art to which the present invention pertains. It is provided to fully inform the person having the scope of the invention, which is defined only by the scope of the claims. For reference, in describing the present invention, if it is determined that a detailed description of a related known function or configuration may unnecessarily obscure the gist of the present invention, the detailed description thereof will be omitted.

Prior to the description, the surgical suture device according to a preferred embodiment of the present invention is used in order to suture the hysterectomy during laparoscopic hysterectomy during gynecological procedure will be described in detail below.

In addition, the surgical suture device according to a preferred embodiment and another embodiment of the present invention will be found in advance that the same reference numerals for the same configuration. However, since the projection receiving part and the projection part of the present invention are different in the fastening method, it is noted that it is described with different reference numerals in advance.

Of course, the surgical suture device according to a preferred embodiment of the present invention is described as being used for suturing the hysterectomy, for example, in addition to that it can be used to suture a variety of incision site in advance.

1 is a perspective view of a surgical suture device according to a preferred embodiment of the present invention, Figure 2 is an exploded perspective view of a surgical suture device according to a preferred embodiment of the present invention.

As shown in Figure 1 and 2, the surgical suture device 1 according to a preferred embodiment of the present invention body portion 100, suture needle assembly 300, fastening support member 400, needle pusher 500, an elastic member 700, and a push control unit 900. Here, as for suturing the hysterectomy, the components of the surgical suture device 1 inserted into the human body is preferably made of a biocompatible material.

The body part 100 includes, as an embodiment of the present invention, a first body part 120, a second body part 140, and a protrusion accommodating part 160. Body portion 100 is provided so that the suture assembly 300, the fastening support member 400, the needle push unit 500, the elastic member 700 and the push control unit 900 can be connected or accommodated.

The first body part 120 is provided in a cylindrical shape so that the needle push part 500 and the push adjusting part 900 reciprocate in the interior. The first body portion 120 of the present invention is provided in a cylindrical shape, but may be provided in various shapes such as a square cylinder shape according to the design change. However, when the first body part 120 is inserted into the human body, it is preferable that the first body part 120 is manufactured in a cylindrical shape in consideration of the pressure or resistance applied by the tissue inside the human body.

On the other hand, the first body portion 120 includes a grip portion 122 and the guide groove 124. The grip portion 122 is gripped by the operator, to ensure the convenience of the operator when providing a pressing force to the needle push unit (500). The gripping portion 122 is formed by protruding bending from the outer surface of the tip adjacent to the needle pusher 500 as an embodiment of the present invention.

Guide groove 124 of the present invention is formed in the central region of the first body portion 120 so that the push adjustment unit 900 can be rotated and reciprocated. The guide groove 124 protrudes so that the adjusting part 940 of the push adjusting part 900 which will be described later, and the adjusting part 940 is formed to be reciprocated by the pressing force of the needle push part 500. . However, the guide groove 124 is different from the present invention, when the push adjuster 900 is disposed adjacent to the front end of the first body portion 120, the first body to correspond to the position of the push adjuster 900 It may be formed in the tip region of the portion 120.

The second body portion 140 is interposed between the suture needle assembly 300 and the first body portion 120. One side of the second body part 140 is connected to the suture needle assembly 300, and the other side of the second body part 140 is connected to the first body part 120. The second body part 140 is equipped with a suture needle assembly 300, and is provided in a cylindrical shape so that the needle push part 500 reciprocates therein. Of course, the second body part 140 may be manufactured in various shapes such as a rectangular cylinder shape, like the first body part 120 described above.

The second body part 140 of the present invention includes a movement guide part 142 (see FIG. 10) and a communication hole 144 (see FIG. 10). The movement guide part 142 meshes with the guide receiving part 556 (see FIGS. 11 and 12) of the push guide part 560 to be described later, and the second body part 140 according to the reciprocating movement of the needle push part 500. Preventing mutual eccentricity of the needle push unit 500. Detailed description of the movement guide 142 will be described in detail in the push guide 560 to be described later.

The communication hole 144 serves as a movement path so that the push part 540 of the needle push part 500 which releases the suture needle 10 accommodated in the suture needle assembly 300 to the suture assembly 300 is inserted into the suture assembly 300. do. The communication hole 144 is formed corresponding to the positions of the suture needles 10 accommodated in the suture needle assembly 300. The communication hole 144 communicates with the guide hole 564 (see FIGS. 11 and 12) of the push guide part 560 to be described later to guide the reciprocating movement of the push part 540.

Protruding portion 160 (see FIGS. 5 and 6) is provided between the second body portion 140 and the suture assembly 300. That is, the protrusion accommodating part 160 is disposed at one end of the second body part 140 facing the suture needle assembly 300. The protrusion accommodating part 160 of the present invention includes a protrusion accommodating part body 162 (see FIGS. 5 and 6) and a fastening accommodating part 164 (see FIGS. 5 and 6). The protrusion accommodating part body 162 is connected to the second body part 140. The fastening accommodating part 164 is provided in a groove shape in the protrusion accommodating part body 162. Details of the fastening accommodation portion 164 will be described together in the protrusion 340 (see FIGS. 3 to 6) to be described later.

The protrusion accommodating part 160 is disposed such that the second body part 140 and the suture needle assembly 300 are detachably coupled to each other. In detail, the protrusion accommodating part 160 is engaged with the protrusion 340 of the suture needle 300 to be described later, so that the second body 140 and the suture needle 300 are detachably coupled to each other. The protrusion accommodating part 160 is fastened in the horizontal direction of the reciprocating movement direction of the protrusion 340 and the mutual needle push part 500.

Meanwhile, the protrusion accommodating part 160 is disposed at one end of the second body part 140 as an embodiment of the present invention, but may be disposed in the suture assembly 300 in place of the protrusion 340 to be described later. . At this time, when the protrusion accommodating part 160 is disposed in the suture assembly 300, the protrusion 340 should be disposed at one end of the second body part 140.

Next, Figure 3 is a first perspective perspective view of the suture needle assembly of the surgical suture apparatus according to the present invention, Figure 4 is a second perspective perspective view of the suture needle assembly of the surgical suture device according to the invention, and Figures 5 to 7 Is a perspective view of the suture needle assembly and the body portion of the surgical suture apparatus according to the present invention.

The suture assembly 300 includes a cartridge 320 and a protrusion 340, as shown in FIGS. 3 and 4. Suture needle assembly 300 is mounted on one side of the body portion 100, is provided to accommodate at least one unit consisting of a pair of suture needles 10 and the suture 30 to interconnect them. Then, the suture needle assembly 300 is manufactured to be detachably coupled to the body portion 100.

Here, in the suture needle assembly 300 of the surgical suture device 1 according to a preferred embodiment of the present invention, only one unit composed of a pair of suture needles 10 is accommodated. However, according to a design change, a plurality of units exceeding one unit may be accommodated in the suture assembly 300.

The cartridge 320 includes a cartridge body 322 forming an appearance of the cartridge 320, and the cartridge body 322 accommodates a unit consisting of a pair of suture needles 10 and a suture 30 interconnecting them. The needle accommodating part 324 and the suture accommodating part 326 are formed.

The needle accommodating part 324 is formed in a pair inside the cartridge body 322 such that the pair of suture needles 10 are received at predetermined intervals, respectively. And, between the pair of needle receiving portion 324 is formed a suture receiving portion for receiving a suture 30 interconnected a pair of suture needles (10). Here, the communication groove 328 is formed between the pair of needle receiving portion 324 and the suture receiving portion 326. The needle accommodating portion 324 and the suture accommodating portion 326 have a pair of suture needles 10 when each of the suture needles 10 is discharged out of the suture needle assembly 300 by the needle pusher 500. It is formed to prevent the emission interference of the suture 30 to interconnect the. Here, the suture 30 is accommodated in the zigzag form in the suture receiving portion 326, but may also be received in a helical shape. Of course, the suture 30 accommodated inside the suture receiving portion 326 should be accommodated in the form of no interference when the suture needle 10 is released.

The needle accommodating part 324 and the suture accommodating part 326 are formed to correspond to one unit including a pair of suture needles 10 and a suture 30 interconnecting the needles 10 as one embodiment of the present invention. However, the needle receiver 324 and the suture receiver 326 may be formed corresponding to the number of units accommodated in the cartridge body 322. For example, when two units are accommodated in the cartridge body 322, the needle receiving portion 324 and the suture receiving portion 326 are formed in two pairs and two, respectively.

The communication groove 328 is smaller than the diameter of the suture needle 10, and is formed larger than the diameter of the suture 30. The communication groove 328 is smaller than the diameter of the suture needle 10 to prevent the suture needle 10 from flowing to the suture receiving portion 326 when the suture needle 10 is released. On the other hand, the communication groove 328 is formed larger than the diameter of the suture 30, so that the suture 30 is released along the suture needle 10 without interference when the suture needle 10 is released.

The protrusion 340 is interposed between the cartridge 320 and the second body 140. The protrusion 340 is disposed on one side of the cartridge 320 in which the cartridge 320 and the second body 140 face each other. The protrusion 340 is engaged with the above-mentioned protrusion accommodating part 160 so that the suture assembly 300 and the second body part 140 are detachably coupled to each other.

The protrusion 340 of the present invention includes a protrusion body 342 and a fastening protrusion 344. The protrusion body 342 is disposed at one end of the suture needle assembly 300 and has a shape corresponding to the shape of the protrusion accommodating part 160. In addition, the fastening protrusion 344 is formed to protrude from the protruding body 342 and is engaged with the fastening accommodation portion 164 to maintain the mutual coupling force of the body portion 100 and the suture assembly 300.

Next, the fastening support member 400 is disposed between the first body part 120 and the second body part 140. The fastening support member 400 accommodates the second body part 140 and is reciprocated along the longitudinal direction of the second body part 140. That is, the fastening support member 400 is reciprocated along the outer surface of the second body part 140. The fastening support member 400 is reciprocated along the longitudinal direction of the second body part 140 to prevent and allow the departure of the protrusion accommodating part 160 and the protrusion 340 in the mutual fastening direction. The role of the detailed fastening support member 400 will be described below along with the coupling process of the body part 100 and the suture assembly 300 with reference to FIGS. 5 to 7.

Here, the fastening support member 400 is positioned and fixed in such a manner that the fastening support member 400 does not move arbitrarily in a position that prevents and permits deviation of the protrusion accommodating part 160 and the protrusion 340 in the mutual fastening direction during the reciprocating movement. It may include a device (not shown). Since the positioning and fixing device is a general content, a detailed embodiment will be omitted.

Body portion 100 and the suture assembly 300 of the present invention is fastened in the horizontal direction of each longitudinal direction. The protrusion 340 of the suture assembly 300 is inserted into and fastened to the protrusion accommodating part 160 of the body part 100.

Here, the body portion 100 and the suture assembly 300 are maintained in the respective longitudinal direction fastening force is not separated from each other. However, the body part 100 and the suture assembly 300 may be separated by sliding in the fastening direction. At this time, the separation of the body portion 100 and the suture assembly 300 may be prevented by the fastening support member 400.

The fastening support member 400 is slidably moved along the longitudinal direction of the second body part 140 when the protrusion accommodating part 160 and the protrusion 340 are fastened to each other, and thus the protrusion accommodating part 160 and the protrusion 340 are fastened to each other. To accommodate the fastening area. When the fastening area of the protrusion accommodating part 160 and the protrusion 340 is accommodated by the fastening support member 400, mutual separation in the fastening direction of the body part 100 and the suture needle assembly 300 is prevented.

Of course, after releasing the suture needle 10 inside the suture needle assembly 300, the separation process of the body portion 100 and the suture needle 300 proceeds in the reverse order of the above description.

On the other hand, Figures 8 and 9 is a perspective view of the combination of the suture needle assembly and the body portion of the surgical suture apparatus according to another embodiment of the present invention.

As shown in FIGS. 8 and 9, the fastening method of the protrusion accommodating part 160 ′ and the protrusion 340 ′ may include the protrusion accommodating part 160 and the protrusion 340 shown in FIGS. 5 and 6. It is different from the fastening method. Of course, the projection receiving portion 160 ', like the projection receiving portion 160 shown in FIGS. 5 and 6, includes a projection receiving body 162' and a fastening receiving portion 164 '. In addition, the protrusion 340 'includes a protrusion body 342' and a fastening protrusion 344 '.

The protrusion accommodating part 160 ′ meshes with the protrusion part 340 ′ such that the body part 100 and the suture assembly 300 are detachably coupled to each other. When the protrusion accommodating part 160 ′ is inserted into the protrusion accommodating part body 162 ′ while the protrusion accommodating part 160 ′ is interlocked with the protruding part 340 ′, the inclined surface of the inlet part gradually opens in both directions. When the projection 340 'is inserted into the groove formed inside the fastening accommodation portion 164', the opened projection accommodation body 162 'is restored to an initial state, and thus the projection accommodation portion 160' and the projection ( 340 'are mutually fastened. When the fastening is released, the tip of the protrusion receiving portion 160 'has an inclined surface, and thus, the protrusion receiving portion 160' and the protrusion 340 'protrude when the suture assembly 300 is withdrawn from the body 100. Receptacle 160 'is gradually opened and released. In the fastening method of the protrusion receiving portion 160 'and the protrusion 340', the height of the locking jaw in the protrusion receiving portion 160 'is selected to be equal to or less than the amount of elastic deformation of the protrusion receiving portion 160'.

Here, the fastening support member 400 may not be used because the fastening directions of the protrusion accommodating part 160 ′ and the protrusion 340 ′ are made in the respective longitudinal directions. However, when the fastening support member 400 is provided, the fastening support member 400 accommodates the fastening region of the protrusion accommodating portion 160 ′ and the protrusion 340 ′ in the longitudinal direction of the suture needle assembly 300. When the pressing force is provided, the opening of the protrusion accommodation portion 160 ′ can be prevented.

Next, Figure 10 is a perspective perspective view of the second body portion of the surgical suture according to the present invention, Figure 11 is an enlarged exploded perspective view of the needle push unit of the surgical suture according to the present invention, Figure 12 is shown in Figure 11 An enlarged perspective view of areas A and B, and FIG. 13 is an enlarged perspective view of the needle push unit of the surgical suture according to the present invention.

As shown in FIGS. 10 to 13, the needle push part 500 of the present invention includes a pressing part 520, a push part 540, and a push guide part 560. The needle push part 500 is disposed on the other side of the body part 100 to provide the pressing force so that the suture needle 10 is released from the suture needle 300 to the incision site. The needle push part 500 is provided as a syringe type which reciprocates along an inner surface of the body part 100 as an embodiment of the present invention. However, the needle push unit 500 may be provided in various ways such as a trigger method according to a design change.

The pressurizing part 520 includes a pressurizing part body 522 and a coupling accommodating part 524. One region of the pressing portion body 522 is exposed to the outside of the body portion 100 is pressed by the operator, the other region is accommodated in the body portion 100.

The coupling accommodating part 524 is formed in the pressing part body 522 to accommodate the push guide part 560. In one embodiment of the present invention, the cross-sectional shape of the coupling receiving portion 524 has a shape corresponding to the shape of the push guide portion 560 having a rectangular cross section. However, the cross-sectional shape of the coupling accommodating part 524 may be changed according to the cross-sectional shape of the push guide part 560.

The push unit 540 is connected to the pressing unit 520 and contacts any one of the suture needles 10 to provide a pressing force transmitted from the pressing unit 520 to the suture needle 10. That is, the push unit 540 provides a pressing force only to any one of the suture needles 10 so that the pair of suture needles 10 are sequentially released.

The push unit 540 is eccentric with respect to the cross section of the press unit 520 so that when the press unit 520 is rotated by the push adjusting unit 900, a pressing force can be selectively provided to each suture needle 10. Are arranged. Since the push unit 540 is eccentrically disposed in the cross section of the press unit 520, the position of the push unit 540 to provide a pressing force is changed according to the rotation of the press unit 520. Of course, the cross-sectional area of the push unit 540 is smaller than the cross-sectional area of the pressing unit 520 so that the push unit 540 may be eccentrically disposed with respect to the cross section of the pressing unit 520.

The push guide part 560 includes a push guide body 562, a guide hole 564, and a guide receiving part 566. The push guide part 560 is accommodated in the coupling receiving part 524 of the pressing part 520, the reciprocating movement guide of the push part 540, preventing the eccentricity of the push part 540 and the eccentricity of the needle push part 500 Serves to prevent.

The push guide body 562 includes a first push guide body 562a and a second push guide body 562b. One end of the first push guide body 562a is accommodated in the coupling accommodating part 524 of the pressing part 520. Here, the first push guide body 562a has a rectangular cross-sectional shape in order to prevent relative rotational movements with the pressing unit 520. That is, the first push guide body 562a is provided to be linked to the rotational movement of the pressing unit 520. Of course, the first push guide body 562a may have a polygonal cross-sectional phenomenon such as a triangular cross-sectional shape in addition to the rectangular cross-sectional shape. In addition, the first push guide body 562a also serves to prevent sagging of the push part 540.

On the other hand, the second push guide body 562b has a shape corresponding to the cross-sectional shape of the pressing unit 520. In the present invention, since the cross-sectional shape of the pressing unit 520 is circular, the second push guide body 562b also has a circular cross-sectional shape.

The guide hole 564 is formed through the second push guide body 562b. The guide hole 564 is formed corresponding to the push portion 540 disposed eccentrically with respect to the cross-sectional area of the pressing portion 520. The guide hole 564 serves to prevent the eccentricity of the push unit 540 during the reciprocating movement of the push unit 540. The guide hole 564 communicates with the communication hole 144 of the second body part 140.

The guide receiving portion 566 is formed in the central region of the second push guide body 562b. The guide accommodating part 566 meshes with the moving guide part 142 of the second body part 140 to prevent eccentricity that may occur when the needle push part 500 reciprocates.

Next, the elastic member 700 is provided in the body part 100, and the needle push part 500 presses the pressing position for pressing the suture needle 10 and the pressing release position for releasing the pressing force on the suture needle 10. Provides elastic force to reciprocate in the In detail, the elastic member 700 of the present invention is made of a coil spring, and provides the elastic force so that the needle push unit 500 is restored from the pressing position to the pressing release position.

Finally, the push controller 900 includes a connector 920 and an adjuster 940. The push adjuster 900 is optional for the pair of suture needles 10 so as to be sequentially connected with the needle pusher 500 and the pair of suture needles 10 contained within the suture assembly 300 are sequentially released. To change the position of the push unit 540. That is, the push adjustment unit 900 provides a rotational force to the needle push unit 500 to selectively adjust the position of the push unit 540 with respect to the pair of suture needles 10. The push adjuster 900 of the present invention is disposed in the central region of the needle pusher 500, but may be disposed at various positions such as the end of the needle pusher 500. Of course, if the position of the needle push unit 500 is changed, the position of the guide groove 124 of the first body portion 120 is also correspondingly changed.

The connection part 920 is provided to be coupled to the outer surface of the pressing part 520. In addition, the adjusting unit 940 protrudes from the connection unit 920 to be gripped by the operator in a horizontal direction with respect to the length direction of the needle push unit 500. The adjusting unit 940 is a needle pusher 500 so that the pusher 540 of the needle pusher 500 can be selectively positioned at the tip of the pair of sutures 10 received in the suture needle 300. To provide torque. The adjusting unit 940 of the present invention is rotated at intervals of 180 degrees so that the position of the push unit 540 is changed at intervals of 180 degrees. Here, the connecting portion 920 and the adjusting unit 940 may be provided to be detachable to each other for coupling into the body.

On the other hand, Figure 14 is a front view of the suture needle assembly of the surgical suture apparatus according to another embodiment of the present invention.

As shown in FIG. 14, in the suture needle assembly 300 of another embodiment, two units of a suture needle 10 and a suture 30 that interconnect the two are formed inside the suture assembly 300. Are accepted. Thus, the adjusting unit 940 is rotated at intervals of 90 degrees so that the four suture needles 10 are sequentially released. Here, the adjusting unit 940 is the rotation direction is determined so that the suture needle 10 of the unit is sequentially released. The adjusting unit 940 shown in FIG. 14 is rotated clockwise according to the arrangement of the units.

The unit consisting of a pair of suture needles 10 accommodated in the suture needle assembly 300 may be accommodated in more than two, so that the rotation interval of the adjusting unit 940 is inside the suture needle assembly 300 The number of units accommodated in is varied.

Looking at the operation of the surgical suture device 1 according to a preferred embodiment of the present invention by such a configuration as follows.

15 to 18 is a perspective view of the operation of the surgical suture according to a preferred embodiment of the present invention.

First, the suture assembly 300 and the body portion 100 are coupled to each other by the above-described process of FIGS. 5 to 7. The surgical suture device 1 shown in FIG. 15 is inserted into the vagina to suture the hysterectomy, which is an embodiment of the procedure.

When the suture needle assembly 300 of the surgical suture device 1 inserted into the vagina reaches the incision site, the operator presses the pressing part 520 of the needle push part 500, as shown in FIG. 16. . Then, the push unit 540 inside the body portion 100 provides a pressing force to any one of the pair of suture needle 10, the suture needle 10 is released to the incision site Penetrates the area. A portion of the suture 30 connected to the suture needle 10 is also released.

When the operator releases the pressing force in the state of FIG. 16, the pressing unit 520 is restored to the pressing release position by the elastic force of the elastic member 700. As shown in FIG. 17, the operator rotates the push adjustment unit 180 by 180 degrees to release the other one of the suture needles 10 contained inside the suture needle assembly 300. At this time, the needle pusher 500 connected to the push adjuster 900 is linked to the rotation of the push adjuster 900, so that the position of the pusher 540 is changed.

As shown in FIG. 18, after rotating the push control unit 900, the operator presses the pressing unit 520 of the needle push unit 500 as in the process of FIG. 15. Then, the suture 30 is also released along with the suture needle 10 remaining in the suture assembly 300 to penetrate the incision region. When the two suture needles 10 are released and penetrated through the incision site, the two suture needles 10 are knotted together to seal the incision site.

After the suture needle 10 is released, the operator separates the suture needle assembly 300 and the body portion 100 and couples the new suture needle assembly 300 containing the suture needle 10 to the body portion 100. . Then, the series of processes of FIGS. 15 to 18 as described above are repeated to suture the incision site.

Thus, by releasing the suture needle by detachably combining the suture needle assembly containing the unit consisting of a pair of suture needles and sutures interconnecting them, the suture needles are sequentially released, thereby reducing the difficulty of the procedure and increasing convenience.

In addition, overcoming the disadvantages of the existing laparoscopic surgical instruments is the suture of the incision site by the sequential release of the suture needle and the knot between the suture needle, it is possible to reduce the time required for the procedure.

While the present invention has been described in connection with what is presently considered to be practical exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, . Therefore, it should be understood that the above-described embodiments are illustrative in all aspects and not restrictive. The scope of the present invention is defined by the appended claims rather than the detailed description and all changes or modifications derived from the meaning and scope of the claims and their equivalents are to be construed as being included within the scope of the present invention do.

1: surgical suture 10: suture needle
30: suture 100: body portion
120: first body portion 140: second body portion
142: movement guide portion 160: projection receiving portion
160 ': projection receiving portion 300: suture assembly
320: cartridge 322: cartridge body
324: needle receiving portion 326: suture receiving portion
328: communication groove 340: projection
340 ': projection 400: fastening support member
500: needle push portion 520: pressing portion
540: push portion 560: push guide portion
566: guide receiving portion 700: elastic member
900: push adjusting portion 920: connecting portion
940: control unit

Claims (17)

A body part;
A suture needle assembly mounted on one side of the body portion and accommodating at least one pair of suture needles and a suture interconnecting the pair of suture needles;
A needle push part disposed at the other side of the body part and providing a pressing force to the suture needle to release the suture needle to the outside from the suture needle assembly;
And a push adjuster which is connected to the needle pusher and adjusts the provision position of the pressing force provided by the needle pusher selectively with respect to the pair of suture needles so that the pair of suture needles are sequentially released. Surgical suture device characterized in that. The method of claim 1,
The body portion
A first body part provided in a cylindrical shape such that the needle push part and the push adjuster are reciprocated in the interior;
One side is mounted to the suture needle assembly and the other side is connected to the first body portion, characterized in that it comprises a second body portion provided in a cylindrical shape so that the needle push portion reciprocating to provide a pressing force to the suture needle Surgical suture device. The method of claim 2,
The suture assembly,
And the suture needle and the suture are releasably received by the needle pusher, and include a cartridge detachably coupled to the second body portion. The method of claim 3,
The cartridge,
A cartridge body;
A pair of needle accommodating portions formed in the cartridge body so that the pair of suture needles are accommodated at predetermined intervals, respectively;
Surgical suture device formed between a pair of the needle receiving portion, comprising a suture receiving portion for receiving the suture interconnected the suture needles. The method of claim 4, wherein
A communication groove is formed between the needle receiving parts and the suture receiving part so that the needle receiving parts and the suture receiving part communicate with each other.
The communication groove is a surgical suture device, characterized in that less than the diameter of the suture needle and larger than the diameter of the suture. The method of claim 2,
One of the suture needle assembly and the second body portion is provided with a projection and the other is provided with a projection receiving portion for engaging the projection, characterized in that the separable needle assembly and the second body portion to be detachably coupled to each other. Surgical suture device. The method of claim 6,
Surgical suture device, characterized in that the protrusion and the protrusion receiving portion is fastened in the transverse direction of the reciprocating movement direction of the needle push portion mutually. The method of claim 7, wherein
The surgical suture device,
When provided between the first body portion and the second body portion when the projection and the projection receiving portion,
A fastening support member which is reciprocated along the longitudinal direction of the second body part to receive and release the fastening area of the protrusion and the protrusion accommodating part to prevent and allow the protrusion and the protrusion in the mutual fastening direction. Surgical suture device characterized in that it further comprises. The method of claim 2,
The needle push unit,
Protruding out of the body portion, the pressing portion is pressed by the operator;
Surgical suture device characterized in that it comprises a push portion connected to the pressing portion and in contact with the suture needles, providing a pressing force transmitted from the pressing portion to each of the suture needles. 10. The method of claim 9,
Surgical suture device, characterized in that the push portion is disposed eccentric with respect to the pressing portion. 10. The method of claim 9,
The needle push unit,
Surgical suture needle, characterized in that it further comprises a push guide portion accommodated in the pressing portion, the guide hole is formed to guide the reciprocating movement of the push portion. The method of claim 11,
Any one of the inside of the second body portion and the push guide portion is formed with a protruding movement guide,
The other is a surgical suture needle, characterized in that the guide receiving portion is formed in engagement with the movement guide portion to prevent the eccentricity due to the reciprocating movement of the needle push. 10. The method of claim 9,
The push adjustment unit,
A connection part connected to the needle push part;
Surgical suture device protrudes from the connecting portion in the transverse direction with respect to the length direction, and the adjusting portion for adjusting the position of the push portion so that the push portion is selectively positioned at the tip of the suture needles. The method of claim 13,
The adjusting part provides a rotational force to the needle push, surgical suture needle, characterized in that for selectively positioning the push relative to the suture needles. The method of claim 1,
It is provided inside the body portion, characterized in that it further comprises an elastic member for providing an elastic force to reciprocate between the pressurized position for pressing the needle push portion and the pressurized release position for releasing the pressing force to the suture needle Surgical suture device. A body part;
A suture needle assembly having at least one unit composed of a pair of suture needles and sutures interconnecting the pair of suture needles, the suture needle assembly having a cartridge detachably coupled to one side of the body portion;
A needle push part disposed at the other side of the body part and having a push part which is eccentrically arranged to provide a pressing force to the suture needle to provide a pressing force to the suture needle to release the suture needle to the outside from the suture needle assembly;
And a push adjuster which is connected to the needle pusher and adjusts the position of the pusher selectively with respect to the pair of suture needles by providing rotational force to the needle pusher so that the pair of suture needles are sequentially released. Surgical suture device characterized in that. A body part;
A suture needle assembly mounted on one side of the body portion and accommodating at least one pair of suture needles and a suture interconnecting the pair of suture needles;
Disposed on the other side of the body and selectively applying pressure to the suture needle against the pair of suture needles to release the suture needle from the suture assembly to the outside so that the pair of suture needles are sequentially released Surgical suture device comprising a needle push.

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